Individual
KATIE AMBROSIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 327-4751
Mailing address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 327-4751
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6080
KY
1041C0700X
Clinical Social Worker
Primary
149.017080
IL
Other
Enumeration date
07/19/2011
Last updated
08/23/2023
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